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�, _ <br /> ;�, <br /> . `�.. ' ' ' ' ' ` w u....�.p. v ' !' � t> !ir!'! <br /> , <br /> � \1'.D.Forro�—IG00—�,P.Co.-6-^.8-"./ � ' • <br /> �ity of Everett�--�Water Depai�tment <br /> APPLICATION FOR WATER <br /> All Ulnnks must bc filled in or crosscd out <br /> Evcrctt�........................._S�7....._._................._..19E.1�. <br />� TO THE SUYGRINTENDEA^P OR TIIF. �t':1TPR DEPAItT1lIBNT: <br /> CITY OP �VLRETT: <br /> I hcreUy npply for the use oC t.;�t��r in accordance «'ith tLc rules nnd regu- <br /> Intions of the Nater Dc iartment, for purpuses imd fixiares stnted belu�v. <br /> During the time t�nt anv ot thc wa,cr mains mny be taken up by rcason <br /> of any i�rpro��cments nutUorized by tlu� City of Everett, in or of nny street or <br /> nlley in �chich thep may hn�•e 6cen laid, thc Oity will not be required to furnish <br /> waler durinq the prugress of such improvemen[a to nny c�isnn:cr whose supP�Y <br /> mny tLus be cut uff, or bu liablc fnr any dmm�ges for its iniiure so to do. <br /> - ' APplication No._.......__�_�...��.... ..,�'. , ��� <br /> ... <br /> Dloek _.................................... Lot......_................................ Add.�-� <br /> No...._��/��....... ... _ .... . .__.. Street . . . . � . <br /> ............................................... ......... ... � <br /> . ..._... ..................................... <br /> ......... <br /> The wurk to be execuled by_.._._..._.U. . ..L-t�.-;s.,t]r-�rt,,......_...Plumber <br /> S�e size of tup. � � <br /> 3 Y ��..Tap to be inserted in thc mnin, o '��' n.�.'�:�. <br /> ....�........Water clocet � a �� , :; ;.• ��:"I .J'. <br /> I � i� D ` � a ,,r��� <br /> .... ..........Unth � <br /> :... ........Urinnl �� - � . �. � . ' �� �. (, ' ; <br /> . .�,i , <br /> �.....Plnin fnucet m::idc � ' � � <br /> ..... . - � l_1 j '.. ; I <br /> .... <br /> ..._�;..Sidc walk }enshcr �'� , ;\, � <br /> ........ _...IIosc bi6 outside - ,' 11,1 J��� <br /> . '.I n' r„ I.'(E9ETT 17P�Tet1 C4F'T <br /> �.�.............Hosc bib for builJing purposes .,,. <br /> '_-..Hnse 6ib insidc � :.................................... <br /> .......... <br /> .............. <br /> .....� .—..:.I3iL for staLlc wntainiug....................stell.................... '. <br /> .....`..—T'umbcr of persuns 10 Cpp11IY <br /> ....�.��..........NuroLcr of rooms in huilding , <br /> Tl�e premises nre to be used ns n......._./�:4-�ScL�Q{,t� <br /> .. ...�............ <br /> . ��' ;/�7.., <br /> 1'he o�cncr af the premises is...� .(J. � - - <br /> , _ .... ...... <br /> ... .... . <br /> ..hc agent is............. . ��� ,,- � <br /> .. ...... .... .._.. ...... - <br /> .............. �. <br /> � ........... <br /> I�is npplica cion, although signed h�ll not be binding upon thc City, until Y�N ���� <br /> � ylhe nuperinten nt of the �5��ter Depnrtment. � �� � - �� <br /> � �/ <br /> �Signed.�!?-a'��...1.7..,.. �. �.R.e.�'�2 <br /> . .. .........................��cc..... - <br /> r�- � . .�. . J;.;�.......�Pliennt <br /> ......�.-'....,r.....1'J� BY..... .�.. � � <br /> / —�:;Z�� ............. <br /> ../ <br /> ,Su�f�ntendent� <br /> r. <br />